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75 Cards in this Set

  • Front
  • Back
General Appearance (9)
LOC
Signs of Distress
Apparent State of Health
Body odor or breath odor
Appropriate Sexual Development
Gait, Posture, Motor Ability
Facial Expression
Dress, Groom, Hygiene
Skin Color, and Lesions
Nails (5)
Color
Shape
Texture
Lesions
Capillary Refill
General Characteristics of the Skin 6
Color
Moisture
Temperature
Texture
Mobility and Turgor
Lesions
Characteristics of a lesion (5)
anatomic location
anatomic distribition
arrangement
type color
Hair (7)
quality
distribution
texture
pattern of loss
dandruff and nits
inspect and palpate
facies notes
Eyebrows (3)
quality
distribution
scaliness
Eyelids (9)
position
width of fissure
edema
color
lesions
condition and direction
adequacy of eyelid closure
lacrimal gland
lacrimal sac for swelling
Conjunctiva and Sclera (3)
vascualr pattern
nodules
swelling
Cornea, Lens and Iris (2)
Cornea and lens= opacities
Iris= clear markings
EOMs (4)
conjugate movements
nystagmus
lid lag
iconvergence
Optic disc (3)
Color
Clarity
Cup
Retina (4)
arteries
veins
macula
fovea
Auricles (3)
lesions
lumps
deformities
Ear Canal (3)
d/c
FB
Redness
Eardrum (7)
color
contour
cone of light
handle of the malleus
short process of the malleus
pars flaccida
pars tensa
Septum and Turbinates (8)
color
swelling
bleeding
exudates
deviation
inflammation
perforations
polyps or ulcers
Lips (6)
Color
moisture
lumps
ulcers
cracking
scaliness
Oral Mucosa (4)
Color
ulcers
white patches
nodules
Neck (6)
symmetry
masses
scars
enlargement of parotid glands
enlargement of submandibluar glands
visible lymph nodes
Lymph nodes (6)
size
shape
delimitation
mobility
consistency
tenderness
PMI (4)
location
diameter
amplitude
duration
Murmur (6)
timing
shape
location of maximal intensity
radiation
intensity
quality
Inspection of Lungs (5)
Rate and Rhythm
deformities
use of accessory muscles
abNL retractions of interspaces
Respiratory Lag
Bronchophony
NL- muffled and indistinct
ABNL- Lounder and clearer
Egophony
NL- ee
ABNL- ay
Whispered Pectilorquay
NL- faint and indistinct
ABNL- Loud and Clear
Abdomen (10)
scars
striae
shape and countour
pulsations
peristalsis
dilated veins
rashes
masses
inflammation
hernias
Abdominal Bruits
Renal
Femoral
Aortic
Iliac
Palpation of Joints (5)
crepitations
heat
enlargements
nodules
tenderness
Inspection of Joints (3)
symmetry
swelling
redness
MCP (3)
bogginess
swelling
tenderness
Hip Palpation (7)
trochanteric bursa
ischeogluteal bursa
crepitations
heat
enlargements
nodules
tenderness
Shoulder Special Tests
cross over test
drop arm sn
Knee Special Tests
Mc Murrats
Collateral Ligs
Cruciate Ligs
lachmans
Ballotment
Bulge
Balloon
thomas test
CTS Special Tests
Tinel
Phalens
Back Special Tests
Scoliosis
A young amle with a sore throat and yellowing of the skin
VS
General
HEENT
Skin
Abdominal
Heart
Lungs
25 y/o female in ER c/o leg pain (L calf) x 2 days
VS
General
Skin
Peripheral vascualture of LE
Heart
Lungs
20 y/o female c/o abd pain, fever and nausea
VS
general
abd
rebound
rovsings
iliopsoas
obturator
cut hyperesthesia
heart
lungs
59 y/o male c/o L sided CP
VS
general
skin
eyes
chest with special tests
heart
carotid artery exam
JVP
36 y/o male c/o R knee pain
VS
general
foot/ankle
knee with special tests
hip with special tests
muscle strength
sensory
skin
eyes
Postural Color Change
Look for
time to return pink
time req for filling of feet/ankle veins
dependant rubor
MSE
Date
Location
3 objects
WORLD
Rename the 3 things
point and recall
fold paper
CLOSE YOUR EYES
write a sentence
pentagons
78 y/o WF fatigue and dyspnea x 2 mos
VS
general
skin
eyes
heart
carotid arteries
JVP
Lungs with special test
Abd with special test
preipheral vascualture
Homans
35 y/o BM who is a paramedic w/ a nagging cough x 3 mos
VS
general
Lungs with special tests
Lymph Nodes
MCP (3)
bogginess
swelling
tenderness
Hip Palpation (7)
trochanteric bursa
ischeogluteal bursa
crepitations
heat
enlargements
nodules
tenderness
Shoulder Special Tests
cross over test
drop arm sn
Knee Special Tests
Mc Murrats
Collateral Ligs
Cruciate Ligs
lachmans
Ballotment
Bulge
Balloon
thomas test
CTS Special Tests
Tinel
Phalens
Back Special Tests
Scoliosis
A young amle with a sore throat and yellowing of the skin
VS
General
HEENT
Skin
Abdominal
Heart
Lungs
25 y/o female in ER c/o leg pain (L calf) x 2 days
VS
General
Skin
Peripheral vascualture of LE
Heart
Lungs
20 y/o female c/o abd pain, fever and nausea
VS
general
abd
rebound
rovsings
iliopsoas
obturator
cut hyperesthesia
heart
lungs
59 y/o male c/o L sided CP
VS
general
skin
eyes
chest with special tests
heart
carotid artery exam
JVP
36 y/o male c/o R knee pain
VS
general
foot/ankle
knee with special tests
hip with special tests
muscle strength
sensory
skin
eyes
Postural Color Change
Look for
time to return pink
time req for filling of feet/ankle veins
dependant rubor
MSE
Date
Location
3 objects
WORLD
Rename the 3 things
point and recall
fold paper
CLOSE YOUR EYES
write a sentence
pentagons
78 y/o WF fatigue and dyspnea x 2 mos
VS
general
skin
eyes
heart
carotid arteries
JVP
Lungs with special test
Abd with special test
preipheral vascualture
Homans
35 y/o BM who is a paramedic w/ a nagging cough x 3 mos
VS
general
Lungs with special tests
Lymph Nodes
78 y/o WF with fatigue and dyspnea x 2mos
VS
general
skin
eyes
heart
carotids
jvp
lungs with special tests
abd with special test
peripheral vascualture
homans
Hypothyroid
VS
general
skin
HEENT
reflexes
chest
MS/Joints
Extremities
27 y/o male with lower back pain radiating to the thigh
VS
genreal
muscle strength
sensory
reflexes
cervical spine
spine
foot/ankle
knee
hip
limb length
herniated disc
deformity of the hip
scoliosis
Hyperthyroid
VS
general
skin
HEENT
reflexes
heart
hands
legs
Pulses
4+ bounding
3+ increased
2+ brisk, expected
1+ diminished
0 absent
Peripheral Vasculature fo the UE
size
symmetry
edema
venous patten
texture and color
Peripheral Vasculature of the LE
size
symmetry
edema
swelling
venous pattern
texture and color
pigmentation
rashes
scars
ulcers
distribution of hair
Postural Color Change
Time to Return of pink in feet
Time to blood return to veins in feet and ankles
dependant rubor
MSE
date
loci
3 things
WORLD
Rename 3 things
point and repeat
no ifs ands or buts
fold paper
close your eyes
write a sentence
pentagons
Reflexes
Biceps
Triceps
Brachioradialis
Abd
Knee
Achilles
Babinski
Clonus
Meningitis
Brudninski
Kernigs
Chronic fatigue/Lethargy/ exercise intolerance
VS
general
skin
HEENT
heart
abd
Romberg
Babinski
Dizziness/Lightheadedness/Presyncope/Vertigo
VS
general
skin
HEENT
Heart
Entire Neuro
Abdomen
Low Back Pain
VS
genreal
Spine
MS
Mini Neuro
Abd
Diabetes
VS
general
HEENT
Heart
Lungs
Neuro
Peripheral Vasculature of the LE